Organization · NPI-2

Cajon Medical Group PC

Internal Medicine · Indio, CA

NPI number1346015245
StatusActive
Last updated in NPPESNov 20, 2023

Details

NPI
1346015245
Entity type
Organization (NPI-2)
Legal business name
Cajon Medical Group PC
Organization subpart
No
Enumeration date
Nov 20, 2023
Certification date
Nov 20, 2023
Last updated
Nov 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Other names

  • Cajon Medical Group, PC (Doing Business As)

Practice location

81709 Dr Carreon Blvd Ste C1
Indio, CA 92201-5577

Phone 909-735-2446 · Fax 909-206-1553

Mailing address

1809 W Redlands Blvd
Redlands, CA 92373-8054

Phone 909-289-4075 · Fax 909-363-8233

Authorized official

Amber Gutierrez
Provider Relations
9092894075

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